Organization Active NPI

Arlington House Adult Day Services

  • Adult Day Care Clinic/Center
  • Bridgeton, MO
National Provider Identifier
1376750208
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
684 Issued in MO
Legal business name
ARLINGTON HOUSE ADULT DAY SERVICES
Practice address
3770 McKelvey Rd
Bridgeton, MO 63044-2001
Phone
(314) 739-0434
Fax
(314) 739-1994
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Ruth Mae Clerkley, BSW
Title
Director
Phone
(314) 739-0434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 684 MO Primary

Addresses

Primary practice location

3770 McKelvey Rd
Bridgeton, MO 63044-2001

Mailing address

3770 McKelvey Rd
Bridgeton, MO 63044-2001
Phone (314) 739-0434

National Provider Directory

National Provider Directory

Locations

3770 McKelvey Rd
Bridgeton, MO 63044
Phone (314) 739-0434

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376750208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 MCKELVEY RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442001",
            "telephone_number": "314-739-0434",
            "fax_number": "314-739-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 MCKELVEY RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442001",
            "telephone_number": "314-739-0434",
            "fax_number": "314-739-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON HOUSE ADULT DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLERKLEY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-739-0434",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.